Practice Hesi 2

For which families should the nurse include information related to safe sleeping habits as a priority during a scheduled health maintenance visit for a toddler-age child? Select all that apply.

-Asian american -African american -Hispanic american these groups are more likely to co-sleep with their toddlers

In distinguishing between dementia and delirium, which factors are unique to delirium? Select all.

-Slurred speech -Visual or tactile hallucinations -A fluctuating level of consciousness

Which factors would the nurse consider when preparing to measure the temp of a preschool-age child with leukemia who is undergoing chemotherapy?

-rectal temperatures are too invasive for this age group -oral temps are accurate in children with leukemia -rectal temps are avoided to reduce the risk of rectal trauma

Which action would the nurse take after finding a young client with panic disorder masturbating in his or her own room?

Apologize and leave the room

Which purpose is served by establishing a therapeutic nurse-client relationship?

Assisting the client in acquiring more effective behavior

Which nursing action will help a client obtain maximum benefits after postural drainage?

Encourage coughing deeply -coughing is needed to raise secretions for expectoration

A client dies during surgery, and the family members ask that the hospital not conduct autopsy examinations. Which religion might the nurse expect this family to practice?

Islam

The nurse is teaching crutch-walking to an adolescent. Which action indicates the need for more teaching?

Looks down when placing the crutches -child should maintain an erect posture, without looking down, to ensure equilibrium and prevent loss of balance and take short steps

Which foods are excellent sources of Vitamin E and betacarotene?

Spinach and mangoes

In which direction would the nurse manipulate the pinna when performing an otoscope exam of a 4 yo child?

Up and back for anyone older than 3yo Down and back for child younger than 3

The nurse is assessing a client who underwent abdominal surgery 10 days ago. The client complains of pain in the abdomen. Which type of pain would the client experience?

Visceral pain -visceral pain arises from visceral/internal organs, somatic pain arises from bone, joint, muscle, skin or connective tissue

Which education would the nurse provide the parents of a preschool child with a spinal cord injury about foods to avoid during prolonged bed rest to prevent complications associated w immobility?

cheese

The nurse enters the client's room and observes the infant lying quietly in the bassinet with the eyes open wide. Which action would the nurse take in response to the infant's behavior?

encouraging the mother to talk to her baby